Hahn H, Färber D, Spitzer I
Röntgenabteilung, Kinderklinik, Technischen Universität München.
Radiologe. 1995 Jun;35(6):391-6.
In blunt abdominal trauma in children, the basic diagnostic work-up should include, in addition to history, physical examination, routine laboratory and X-ray studies, ultrasound and color Doppler ultrasonography. With these methods, most lesions can be identified both in the acute phase and in follow-up. They are also helpful to decide if surgery is indicated or if conservative management is justified. The diagnostic hallmarks of the most common organ lesions are summarized. Additional imaging studies, e.g. CT, angiography, or MRI, should be reserved for specific questions.
在儿童腹部钝性创伤中，除病史、体格检查、常规实验室检查和X线检查外，基本的诊断性检查还应包括超声和彩色多普勒超声检查。通过这些方法，大多数损伤在急性期和随访中都能被识别出来。它们还有助于决定是否需要进行手术，或者保守治疗是否合理。本文总结了最常见器官损伤的诊断特征。其他影像学检查，如CT、血管造影或MRI，应仅用于特定问题。
